City of Allen

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1004 Issued in NE

Legal business name

CITY OF ALLEN

Doing business as

Allen-Waterbury Rescue Squad

Practice address

201 S. Harrison Street
Allen, NE 68710-0040

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Jun 18, 2009

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Candy L Torres

Title

Rescue Captain

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other names 1

• ALLEN-WATERBURY RESCUE SQUAD Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1003043951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "ALLEN",
            "state": "NE",
            "postal_code": "687100040",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. HARRISON STREET",
            "city": "ALLEN",
            "state": "NE",
            "postal_code": "687100040",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "CANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN-WATERBURY RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Public Schools
• Marybeth Graber, RN
• Elizabeth J Offner, RN
• Scott D Roth
• Carissa Connie Simonsen, M.S., CCC-SLP
• Danielle Stewart

• Land Ambulance in Allen, NE
• Providers in Allen, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.